| NPI | 1376108845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 30885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 31700) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2024-07-01 |